HomeMy WebLinkAboutRECEIPTWATER COMM
;4EWER RES
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SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METER INSTALL.'
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
/
.-/ TOTAL
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CUSTOMER
NAME OF SPOUSE
ST. LUCIE COUNTY UTILITIES P.O. BOX 728.
NAME /'�f�.Gl(S ���,` V�P h aI• Lucie County - PCIS
10-16-2019 02:37:55
15542/6669
SERVICEADDRESS % ADAMS HOMES OF NOR
5317 SAN BENEDETTO PL LOT 5
-iI IL;` I i Did (G r " FORT PIERCE
FL 34951
SUBDIVISION
/.,
BILLEVGADDRESS �ii�)(; '�7L(
Amount Tendered: 174.00
Amount Paid: 174.00
PHONE # Y I w�
Change Due: 0.00
Thank You
This application hereby request and authorise
services to the premises described above in a
rules and regulations,. which byrefierence are t
User ID: WARDD
the Utility promptly for such services in'accc
CUSTOMERS DEPOSITS ARE NON NEGO'
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
l� 1 ( `/ CASH CHK # {
DATE RECEIVED . 1 ?� '�
7�LLI-.'q
County
UU St. Lucie
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